Provider Demographics
NPI:1265107080
Name:FREEZE-CARTER, AMBER N (LCMFT)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:N
Last Name:FREEZE-CARTER
Suffix:
Gender:F
Credentials:LCMFT
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:N
Other - Last Name:CARTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCMFT
Mailing Address - Street 1:PO BOX 781326
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67278-1326
Mailing Address - Country:US
Mailing Address - Phone:316-290-9103
Mailing Address - Fax:316-854-9664
Practice Address - Street 1:889 N MAIZE RD SUITE 200
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67212-6302
Practice Address - Country:US
Practice Address - Phone:316-290-9103
Practice Address - Fax:316-854-9664
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-13
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS03273106H00000X
KS03339106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist